Please help: Liver Lesion with Symptoms

[Sam_AM]

My mother is a 53 years-old female. In 2006, she had an abdominal ultrasound due to symptoms of nausea. This showed a hyperechoic lesion measuring 2.5*2.3 cm, and the doctor concluded that it was a hemangioma.

Recently, in 2014, she had another abdominal ultrasound because of symptoms of nausea. This time, there was an ovoid-shaped echogenic lesion that measured 3.5*2.9*3.3 cm. Additionally, her blood work shows an abnormal level of alkaline phosphatase (135). Is this something to worry about? Could it be a result of metastatic cancer?

[fntn]

Generally hemangiomas don't require intervention even though they can grow quite large, well over 10 cms or more. But when they do start to cause symptoms and serum changes, they do need to be monitored which is what her doctor is likely to do. The mild elevation in ALP can be caused by the lesion's compressive forces on nearby small bile ducts and lobules/canaliculi. So with her doctor alerted and watching, let's hope that the ALP spike is simply benign in nature.

[Sam_AM]

The doctor says it is a hemangioma again, but the fact that the size is increasing and my mother's symptoms have me worried. What do you suggest I should do?